NEW Service DevelopmentEngaging Your Stakeholder

Service Development TeamSonya Stephenson

3rd March 2017

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Welcome and Introduction

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• 300,000 fragility fractures a year• 85,000 are hip fractures• 1.8 million hospital bed days• 1 in 4 hip fracture patients die within 1 year• 33% become totally dependent • £1.9 billion in hospital costs (excludes social

care costs)

What is the impact of fractures?Specifically hip fractures…

Priorities and Plans of the Charity Aim 1: Every person aged over 50 who breaks a bone is assessed for osteoporosis and managed appropriately.Priority 1:

Extend coverage of Fracture Liaison Services in the UKTHIS IS WHERE WE CAN HELP YOU

Priority 2:Improve quality of Fracture Liaison Services and osteoporosis services

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Elevator pitch 30 Seconds - 2 minutes Explain what you want …. • FIND SOMEONE INTERESTED• AT THE HOPSITAL • AT THE CCG• CLINICIAN• MANAGER • CHIEF EXECUTIVE Have your pitch ready• HIP FRACTURES SAVED• BED DAYS• MONEY SAVED Needs to be Concise and make an impact!!

• Facilitate stakeholder engagement

• Help establish patient/care pathway

• Project manage commissioning/funding • Work with commissioners to ensure services are sustained.

How we Help

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What is a stakeholder meeting?

• A stakeholder meeting is a strategic event for introducing stakeholders to each other.

• Gaining their commitment and defining objectives• It also collects information about the purpose of the

system and its overall context • Stakeholder meetings give all of those with an

interest in your idea a chance to take part.• Allows suggestions for how to improve and take the

idea forward

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Stakeholder Map

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Fracture Liaison Service (FLS)• A FLS is a proven model for fragility fracture

prevention• 50% of hip fracture patients have had a prior

fragility fracture• All patients > 50 years who fracture are targeted• Clinically and cost effective

Find them

Assess them

Treat where appropriate Follow-up

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Examples of who might initiate FLS • CCG • GP• ORTHOPAEDIC SURGEON • RHEUMATOLOGIST• SPECIALIST NURSE • BUISNESS/TRANSFORMATION MANAGER• DXA RADIOGRAPHER• FALLS LEAD • PATIENT!!

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Where are you NOW?I am sure you are feeling ‘we have nothing’

• NHFD input• Hip fracture nurse • Orthogeriatrician• Rheumatologists

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How we can help you

Approval

NOS team can attend meetings and present /

support as required

7. Mobilisation8. Reporting /

evaluation

FLSP Training Provider, commissioner

Decision

6. Contract and performance

5. Service model and specfication

4. Business caseDecision

Performance framework and reporting tool

Draft available-compliant with NHS Std Contract

Benefits CalculatorCost Calculator

Draft using local template

1. Initial meeting 2. Gap analysis 3. Outline proposal

Facilitation and presentation of case

Team visit Draft using local template

FPP training

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How will it look?

By FLS Nurse

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Planning for your FLS - SPACE

1. A clinic room , space – Estates 2. Case finding3. DXA scans (location to assessment room)4. Assessment appointments (timings 20 mins?)5. Complex cases6. Follow-up contacts (all 75+ and treated 50-75)7. Action on patients followed-up

1. Job banding, matching hours, start/end date (band 6/7)2. Vacancy control forms3. Adverts & short-listing dates 4. Interview panel5. Notice6. Contracts (fixed/short term)7. Occupational Health8. Induction; FPP online training9. Mandatory training10.Apprenticeships

DONT UNDERESTIMATE THE TIME THIS TAKES!!! 18

Planning for your FLS – STAFF

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Sonya StephensonThe National Osteoporosis SocietyCamertonBathBA2 0PJ

Tel: 07525 593390Email: s.stephenson@nos.org.ukWebsite: www.nos.org.uk

Free phone Helpline: 0808 800 0035

Contact information

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WE CAN DO THIS TOGETHER